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NPI Code Detail

MEDICARE: ERYN GRACE OWENBY OTD

MEDICARE: ERYN GRACE OWENBY OTD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225X00000XOccupational TherapistFL

General Provider Information

NPI Number : 1952232555
Entity Type Code : Individual
Provider Name (Legal Business Name) : ERYN GRACE OWENBY OTD
Provider Business Mailing Address
First Line : 8451 GATE PKWY W APT 1045
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32216-4102
Country : US
Telephone Number : 904-707-7842
Fax Number :
Provider Business Practice Location Address
First Line : 3599 UNIVERSITY BLVD S
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32216-4252
Country : US
Telephone Number : 904-345-7600
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/25/2026
Last Update Date : 05/25/2026

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Directions to “ ERYN GRACE OWENBY OTD” Practice Location

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